Garcia Life Partners Ltd | |
5101 S Kildare Ave Chicago IL 60632-4608 | |
(773) 735-5600 | |
(773) 735-9489 |
Full Name | Garcia Life Partners Ltd |
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Speciality | Family Medicine |
Location | 5101 S Kildare Ave, Chicago, Illinois |
Authorized Official Name and Position | Bernadino Garcia (PRESIDENT) |
Authorized Official Contact | 7737355600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Garcia Life Partners Ltd 7937 S Harlem Ave Ste 278 Burbank IL 60459-1600 Ph: (773) 884-4523 | Garcia Life Partners Ltd 5101 S Kildare Ave Chicago IL 60632-4608 Ph: (773) 735-5600 |
NPI Number | 1770500621 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 04/18/2023 |
Medicare PECOS PAC ID | 4385717776 |
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Medicare Enrollment ID | O20080717000604 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770500621 | NPI | - | NPPES |
1632097 | Other | IL | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bernardino Garcia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669468062 PECOS PAC ID: 5092888487 Enrollment ID: I20081009000430 |
Provider Name | Robyn M Garcia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932195336 PECOS PAC ID: 6901979392 Enrollment ID: I20081009000445 |
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